Jeffrey Edward Sootin in Snellville - Surgery

Jeffrey Edward Sootin - NPI 1912909573

Jeffrey Edward Sootin is a Surgery in Snellville, Georgia. Jeffrey Edward Sootin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jeffrey Edward Sootin is 1912909573. The last update date is 2007-11-01.

Jeffrey Edward Sootin's current location address is 1800 Tree Lane Rd, Snellville, Georgia. You can contact this provider via phone number 7709780561 and fax number 7709780546. The mailing address for Jeffrey Edward Sootin is 1800 Tree Lane Rd, Snellville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Edward Sootin
Address 1800 Tree Lane Rd, Snellville, Georgia
Phone Number 7709780561
Fax Number 7709780546
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912909573
Provider Enumeration Date 2005-08-12
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 1800 Tree Lane Rd
City Snellville
State Georgia (GA)
Post Code 300784700
Phone Number 7709780561
Fax Number 7709780546

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 48942
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20047989 GA RAILROAD MEDICARE
000880591C GA --
00880591A GA --

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FAQs about Jeffrey Edward Sootin

What is the unique identifier code issued to Jeffrey Edward Sootin by the Centers for Medicare & Medicaid Services?

The Jeffrey Edward Sootin has been assigned the NPI (National Provider Identifier) 1912909573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey Edward Sootin is physically located?

The Jeffrey Edward Sootin is situated at the following address: 1800 Tree Lane Rd, Snellville, GA 300784700.

What is the Jeffrey Edward Sootin's specialty and taxonomy code?

The Jeffrey Edward Sootin's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

When did the Jeffrey Edward Sootin receive its 1912909573?

The Jeffrey Edward Sootin was issued its 1912909573 on 2005-08-12, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Jeffrey Edward Sootin most recently updated or revised?

The details related to Jeffrey Edward Sootin, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-01.

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